Transfer
of Membership
Transfer
of Membership
Present member(s) of Synagogue
Transfer membership to Synagogue
*Funeral Expenses Scheme:
Date membership(s) commences
Male
Title:
Yes
No
Female
Forename(s):
Title:
Forename(s):
Surname:
Surname:
Full Address:
Full Address:
Postcode:
Postcode:
Tel no.(s): Home:
Work:
Tel no.(s): Home:
Mobile :
Mobile :
Email:
Email:
Date of Birth:
Date of Birth:
Hebrew Name:
Hebrew Name:
Work:
Marital Status
Single
Married
Divorced
Widowed
Date of Marriage:_______________________ Place of Marriage: ______________________
If Divorced: ‘GET’ Yes/No Date: _______________ Ref No.: ________________________
Children under 21. For additional children, please complete section overleaf.
Name:
Name:
Hebrew Name:
Hebrew Name:
Email:
Email:
Date of Birth:
Male
Date of Birth:
Female
Male
Is the child adopted? Yes/No
Is the child adopted? Yes/No
Has the child converted? Yes/No
Has the child converted? Yes/No
Female
Are they a member of Tribe, Young United Synagogue? Y/N Are they a member of Tribe, Young United Synagogue? Y/N
If they are not a member and you would like them to join Tribe, If they are not a member and you would like them to join Tribe,
please tick this box
please tick this box
(By ticking this box I agree to my child becoming a Tribe member. For full terms and conditions
for Tribe membership please visit www.tribeuk.com) Tribe membership is free for children
under 21. For member Synagogues, single children over 21 can join Tribe Community by
visiting www.tribeuk.com/tcm for £60 per year and includes synagogue membership and
US burial rights (FES).
(By ticking this box I agree to my child becoming a Tribe member. For full terms and conditions
for Tribe membership please visit www.tribeuk.com) Tribe membership is free for children
under 21. For member Synagogues, single children over 21 can join Tribe Community by
visiting www.tribeuk.com/tcm for £60 per year and includes synagogue membership and
US burial rights (FES).
*NB: (i). Burial Rights will continue but if applying for FES on transfer this becomes effective only after six months continuous membership (and an entrance fee is
paid where applicable) and will only continue while membership contributions are paid regularly. (ii) Notice of resigning/transferring membership must be received
by the Administrator in writing.
I confirm that I resign my membership currently at _____________________________________________Synagogue.
Reason for transfer
Date
Date
Signature of Applicant Signature of Applicant
FOR OFFICE USE ONLY
Bill from ___________________________________Date_________________URK_____________________
For additional children, please complete section below.
Children under 21
Children under 21
Name:
Name:
Hebrew name:
Hebrew name:
Email:
Email:
Date of birth:
Male
Female
Date of birth:
Male
Is the child adopted? Yes/No
Is the child adopted? Yes/No
Has the child converted? Yes/No
Has the child converted? Yes/No
Female
Are they a member of Tribe,Young United Synagogue? Y/N Are they a member of Tribe,Young United Synagogue? Y/N
If they are not a member and you would like them to join Tribe, If they are not a member and you would like them to join Tribe,
please tick this box
please tick this box
(By ticking this box I agree to my child becoming a Tribe member. For full terms and conditions
for Tribe membership please visit www.tribeuk.com) Tribe membership is free for children
under 21. For member Synagogues, single children over 21 can join Tribe Community by
visiting www.tribeuk.com/tcm for £60 per year and includes synagogue membership and
US burial rights (FES).
(By ticking this box I agree to my child becoming a Tribe member. For full terms and conditions
for Tribe membership please visit www.tribeuk.com) Tribe membership is free for children
under 21. For member Synagogues, single children over 21 can join Tribe Community by
visiting www.tribeuk.com/tcm for £60 per year and includes synagogue membership and
US burial rights (FES).
Yahrzeits Details:
Forename of Deceased
Surname of Deceased
Hebrew Name
in English
Name of Member
Relationship to Member
Hebrew Date Deceased (please include year)
English Date Deceased (please include year)
Forename of Deceased
Surname of Deceased
Hebrew Name
in English
Name of Member
Relationship to Member
Hebrew Date Deceased (please include year)
English Date Deceased (please include year)
Forename of Deceased
Surname of Deceased
Hebrew Name
in English
Name of Member
Relationship to Member
Hebrew Date Deceased (please include year)
English Date Deceased (please include year)
Forename of Deceased
Hebrew Name
in English
Name of Member
Hebrew Date Deceased (please include year)
English Date Deceased (please include year)
Surname of Deceased
Relationship to Member